Ventricular fibrillation likely resulting from electrocautery and amiodarone: a rare clinical case report.

IF 1.4 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL
Jianwei Guo, Yan Cheng, Minmin Yi
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引用次数: 0

Abstract

Monopolar electrocautery is usually a safe and effective technique used in laparoscopic cholecystectomy and bile duct surgery, but it may lead to adverse consequences, even ventricular fibrillation (VF). Amiodarone is an effective antiarrhythmic drug commonly used in practice to treat ventricular and atrial arrhythmias, but it may induce tachyarrhythmia or even VF. We report a case of VF occurring twice during cholecystectomy. The first VF was caused by low-frequency leakage current of the monopolar electrocautery. The second VF was due to amiodarone causing further prolongation of the corrected QT interval. By performing cardiopulmonary resuscitation and defibrillation, the patient recovered and was eventually discharged in good condition. In cholecystectomy surgery, especially when separating adhesive tissue from liver, caution should be exercised when using a monopolar electrotome, which is recommended to stop bleeding in the bipolar mode. After cardiopulmonary resuscitation, caution should be exercised when using amiodarone to prevent arrhythmia, even if prolongation of the corrected QT interval does not reach the diagnostic indicators of 470 ms for men and 480 ms for women. In addition, defibrillators should be in standby mode during the perioperative period.

可能由电灼和胺碘酮引起的心室颤动:一个罕见的临床病例报告。
单极电切是腹腔镜胆囊切除术和胆管手术中一种安全有效的技术,但单极电切可能导致不良后果,甚至心室颤动(VF)。胺碘酮是一种有效的抗心律失常药物,通常用于治疗室性和心房性心律失常,但它可能导致心律失常过速甚至室颤。我们报告一个在胆囊切除术中发生两次心室颤动的病例。第一个VF是由单极电枢的低频漏电流引起的。第二次室颤是由于胺碘酮导致校正后QT间期的进一步延长。经心肺复苏术及除颤后,病人恢复健康,出院时情况良好。在胆囊切除手术中,特别是在将粘连组织与肝脏分离时,应谨慎使用单极电刀,建议在双极模式下止血。心肺复苏后,即使校正后QT间期的延长未达到男性470ms和女性480ms的诊断指标,也应谨慎使用胺碘酮预防心律失常。此外,除颤器在围手术期应处于待机状态。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.20
自引率
0.00%
发文量
555
审稿时长
1 months
期刊介绍: _Journal of International Medical Research_ is a leading international journal for rapid publication of original medical, pre-clinical and clinical research, reviews, preliminary and pilot studies on a page charge basis. As a service to authors, every article accepted by peer review will be given a full technical edit to make papers as accessible and readable to the international medical community as rapidly as possible. Once the technical edit queries have been answered to the satisfaction of the journal, the paper will be published and made available freely to everyone under a creative commons licence. Symposium proceedings, summaries of presentations or collections of medical, pre-clinical or clinical data on a specific topic are welcome for publication as supplements. Print ISSN: 0300-0605
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